| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,075 |
2,059 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,095 |
1,014 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 99457 |
|
495 |
495 |
$1K |
| 99458 |
|
407 |
407 |
$663.66 |
| 99454 |
|
279 |
275 |
$389.61 |
| 90656 |
|
22 |
22 |
$87.48 |
| 1160F |
|
118 |
116 |
$40.00 |
| 90674 |
|
12 |
12 |
$35.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
231 |
230 |
$0.00 |
| 4040F |
|
13 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
39 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
194 |
194 |
$0.00 |
| 1126F |
|
53 |
52 |
$0.00 |
| 1101F |
|
52 |
51 |
$0.00 |
| 1036F |
|
52 |
51 |
$0.00 |
| 1170F |
|
64 |
63 |
$0.00 |
| 1157F |
|
65 |
64 |
$0.00 |
| 3008F |
|
64 |
64 |
$0.00 |
| 4010F |
|
64 |
59 |
$0.00 |
| 3074F |
|
14 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |
| 3017F |
|
13 |
12 |
$0.00 |